Management of Ectopic Pregnancy in a Broad Ligament and Recurrent Tubal Pregnancy: A Case Report

Abstract

Broad ligament pregnancy is a rare event and always delays in diagnosis. A pregnant woman in early twenties presented for our center. Routine ultrasonography revealed a first trimester abdominal pregnancy. Broad ligament pregnancy was diagnosed intraoperation and treated with laparoscopic resection successfully. The patient has a history of right tubal pregnancy 2 years ago and terminated with Laparoscopic Salpingostomy. According to the long term followed-up for the patient, we found that she had recurrent right tubal pregnancy 5 months after the broad ligment ectopic pregnancy. She received the salpingectomy laparoscopically. We presented the case to discuss the clinical management of broad ligament ectopic pregnancy and options of surgical treatments of tubal pregnancy to reduce the risk of recurrent.

Broad Ligament Pregnancy

“…Siow et al injected vasopressin into the broad ligament before starting the excision, the pregnancy was removed, and the surgery was completed uncomplicated [38]. Since then there has been an increase in the reports of broad ligament pregnancies which were managed with laparoscopy [11,17,24,25,30,[60][61][62], while Mo et al in 2018, in the case they reported, managed laparoscopically a broad ligament pregnancy with a hemoperitoneum of about 2800 ml. In most cases coagulation was used to control the breeding.…”

Non-tubal ectopic pregnancy

“…Siow et al injected vasopressin into the broad ligament before starting the excision, the pregnancy was removed, and the surgery was completed uncomplicated [38]. Since then there has been an increase in the reports of broad ligament pregnancies which were managed with laparoscopy [11,17,24,25,30,[60][61][62], while Mo et al in 2018, in the case they reported, managed laparoscopically a broad ligament pregnancy with a hemoperitoneum of about 2800 ml. In most cases coagulation was used to control the breeding.…”